ANSWERS WITH SOLUTIONS 2024
Treating a patient with colostrium dificile. What should be included in the teaching - ANSWER Have
family members wear gown and gloves when visiting
A nurse is giving shift change report to a nurse about a client with pnuemonia. What should be included
in the report - ANSWER breath sounds
Which task can the nurse delegate to an assitive personnel. - ANSWER ambulating a patient who is
preoperative
When documenting a fall which statement should the nurse include - ANSWER The patient was found
lying on the ground
When irrigating a wound the nurse should - ANSWER cleanse the wound from the center outward
Rubella is which kind of precaution - ANSWER droplet
Which of the following is 120mL of fluid - ANSWER 8 oz of ice chips
TB treatment - ANSWER Negative airflow room pressure
Wear gloves when assisting the client with oral care
Use antimicrobial hand sanitizer
Patient is refusing a blood transfusion. Family want them to take it. What should the nurse do - ANSWER
Withhold the blood transfusion
Which statement shows the patient understands how to use crutches with a broken left foot - ANSWER
When descending the stairs I will put all my weight on my right foot
, A prescription for three tenths of a mg should be written how? - ANSWER 0.3
Which of the following indicates that the catheter needs to be irrigated? - ANSWER Bladder scan shows
525mL of urine in it
A patient has been immobile for the last three weeks what sign shows the nurse they should intervene? -
ANSWER Erythema on pressure points
When starting an NG tube feeding what should the nurse do? - ANSWER Keep the patient's head to at
least 30 degrees
When discharging a patient, what is an important part os reconciliation? - ANSWER Making sure the
prescriptions match the drugs taken at the facility.
Patient is to be put on a 24 hour output recording. Which indicated the patient has understood the
teaching? - ANSWER I flushed the urine at 7 am and have kept all urine since.
nurse is planning an education event at a senior living center. What should the nurse include? - ANSWER
You should get a pneumococcal vaccine every 10 years
Patient has been vomiting and having diarrhea for the last three days. What should the nurse expect? -
ANSWER Rapid heart rate
Patient is receiving pain medication through a Patient controlled pump (PCA). What should the nurse
instruct - ANSWER Family should not push the button for the patient if the patient is asleep.
Which person is at an increased chance for hypertension - ANSWER the patient that smokes one pack of
cigs a day
Patient asks what routine screening for an average risk for colon cancer consists of? - ANSWER Getting a
fecal occult blood test every year